Medical Practice Licenses in Nebraska

License number
Nebraska 143
Address
7337 Dodge St, Omaha, NE 68114
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Nebraska IN-01068643A-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 2011
Effective Date
Sep 19, 2011
Expiration Date
Aug 24, 2011
Type
Physician Locum Tenens
License number
Nebraska IN-01068643A-B
Address
Nebraska
Category
Medicine
Issued Date
Sep 10, 2011
Effective Date
Sep 19, 2011
Expiration Date
Oct 3, 2011
Type
Physician Locum Tenens
License number
Nebraska 40
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Apr 15, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 872
Address
Nebraska
Category
Medicine
Issued Date
Nov 1, 2011
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4610
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 517
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 1996
Effective Date
Aug 20, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 4165
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1364
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 2003
Effective Date
May 11, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 960
Address
Nebraska
Category
Medicine
Issued Date
Jul 24, 2000
Effective Date
Nov 21, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 2421
Address
Nebraska
Category
Medicine
Issued Date
Jan 2, 2009
Effective Date
May 11, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4164
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2001
Effective Date
Sep 1, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3683
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Mar 10, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 2853
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 1, 1994
Type
Temporary Educational Permit
License number
Nebraska 337
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jan 26, 2001
Effective Date
Jan 10, 2013
Expiration Date
Dec 31, 2012
Type
Registered Environmental Health Spec
License number
Nebraska 2522
Address
Nebraska
Category
Medicine
Issued Date
Jul 16, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4625
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2002
Effective Date
Nov 25, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1069
Address
Nebraska
Category
Medicine
Issued Date
Mar 8, 2001
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1124
Address
Nebraska
Category
Medicine
Issued Date
Mar 16, 1995
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1266
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1993
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 882
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1993
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 38
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 1983
Effective Date
Jan 24, 1986
Type
Osteopathic Physician
License number
Nebraska VA-0101240603-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 2009
Effective Date
Jul 27, 2009
Expiration Date
Jul 27, 2009
Type
Physician Locum Tenens
License number
Nebraska 5842
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Mar 24, 2010
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska KY-35323-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 2008
Effective Date
Feb 11, 2008
Expiration Date
Jan 21, 2008
Type
Physician Locum Tenens
License number
Nebraska KY-35323-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 4, 2008
Effective Date
Feb 11, 2008
Expiration Date
Feb 11, 2008
Type
Physician Locum Tenens
License number
Nebraska 3384
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Nov 6, 1996
Type
Temporary Educational Permit
License number
Nebraska 5047
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 2, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 819
Address
Nebraska
Category
Medicine
Issued Date
Mar 24, 2011
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska SC-13757-A
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1990
Effective Date
Nov 22, 2004
Expiration Date
May 14, 1990
Type
Physician Locum Tenens
License number
Nebraska 6311
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 530
Address
Nebraska
Category
Medicine
Issued Date
Apr 11, 2007
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 972
Address
Nebraska
Category
Medicine
Issued Date
Aug 22, 2000
Effective Date
Nov 14, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor